Since the tranexamic acid (Pause) did not work after seven days, please avoid taking further immediate self-medication. Continuous bleeding requires a professional evaluation to find the underlying cause, which may need prescription hormonal therapies like progestogens. Since you are traveling, I highly recommend visiting a local clinic or urgent care. A doctor there can safely evaluate your symptoms, check your blood levels, and provide the correct prescription to stop the bleeding. Please try to rest and stay well-hydrated.

A transvaginal ultrasound is definitely recommended to evaluate your uterine lining, and it is completely safe and effective to perform even while you are actively bleeding. Since antifibrinolytics haven't resolved the bleeding, excellent alternative medical options include hormonal therapies such as oral progestins, combined oral contraceptives, or a hormone-releasing intrauterine device. Please consult your gynecologist to safely guide you through these next steps.

Yes, minor cuts on this sensitive area can heal completely. Resting the area by avoiding all sexual activity and friction for a few weeks is an excellent and crucial step to allow the delicate skin to repair. While you can apply a triple antibiotic ointment like Neosporin, keep in mind that genital skin is highly sensitive and prone to allergic reactions from certain antibiotics. Often, a plain, fragrance-free ointment like petroleum jelly is a gentler option to keep the area protected and moist. If the cuts do not improve, seem deep, or show signs of infection like increased redness or swelling, please consult a healthcare provider for a quick check.

It is very common for your cycle to be irregular as your body recovers after a miscarriage. While Deviry (medroxyprogesterone acetate) helped last month and Pause (tranexamic acid) did not, please consult your doctor before taking either medication now. Self-medicating with hormones like Deviry or clotting agents like Pause can disrupt your natural hormonal recovery or mask conditions that need medical attention. Your gynecologist can safely evaluate your healing, perhaps with an ultrasound, to determine the safest way to regulate your bleeding.

While tranexamic acid (Pause 500 mg) is highly effective at reducing heavy menstrual blood loss, it does not regulate your menstrual cycle or treat the underlying cause of frequent bleeding. Because your periods are occurring too closely together, it is very important to consult your gynecologist before taking this medication. They can help identify why this cycle change is happening and ensure you receive the safest, most appropriate treatment for your body.

While mild discharge can sometimes linger, ongoing or restarted bleeding at this stage is less common and warrants a check-up. It could be due to normal hormonal changes, your period returning, or sometimes healing tissues in the uterus. Please don't worry, but do reach out to your OB/GYN for an evaluation. They can perform a quick ultrasound to ensure you are recovering safely and help give you peace of mind.